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Postpartum depression without delivering a child?


Giovanni Manfredi, Department of Psychiatry, ‘La Sapienza’, University of Rome, Ospedale Sant'Andrea, Via di Grottarossa 1035-1039, 00189 Rome, Italy.


Objective:  Depression in people related to delivering women is documented in their mates, but only anecdotal in other family members. We describe a case of depression in a woman who had previously experienced postpartum depression after the birth of her nephew.

Method:  A clinical description of the case.

Results:  A 53-year-old woman, hysterectomized at age 47 years, was admitted for attempted suicide. She developed major depressive episode 1 month after her daughter had delivered a son. She had a past history of two postpartum depressive episodes clinically identical to the current episode. The episode resolved after 5 weeks. At 1-year follow-up, the patient is still asymptomatic.

Conclusion:  Psychological and cultural factors were at play in this case more than hormonal and biopsychosocial ones.